177600 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363365 Page 1 of 1
c f ONE CIVIC SQUARE VICTORIA CASTOR CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 14351 WHITWORTH DRIVE
CARMEL IN 46033
CHECK NUMBER: 177600
CHECK DATE: 9/29/2009
DEP ARTMENT ACCOU PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 334900 60.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 334900 en 2
Payment Date: 09/09/2009
Household 7687
Home Phone: (317)569 -9831 SEA' 2 3 2009
Work Phone: (317)557 -8802
Bye
J. VICTORIA CASTOR Monon Center
14351 WHITWORTH DRIVE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 60.00
Enrollee Name: CWr+e Castor Fees +Tax Discount Prey Paid Cur Paid Amount Due
Activity Number. 295203 -01 Hulaeize Jr 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/01/2009 (Cancelled)
Class Location: Fitness Studio B Class Dates. 09/09/2009 to 10/14/2009
Monon Center 1:OOP to 1:45P
W
Carmel, IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: low enrollment
GIL Cade Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Aaxnmt (AP) Enter Control Acct here 60.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/09/09 13:42:25 by CNA FEES CHANGED ON CANCELLED ITEMS 60.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0 .00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS'' 60.00
TOTAL AMOUNT REFUNDED 60:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 334900
Payment Date: 09/09/2009
Household 7587
Au rued Signature Date Authorized Signature Date
Page 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Castor, J. Victoria Terms
14351 Whitworth Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
919109 334900 Refund 60.00
Total 60.00
E hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20�
Clerk- Treasurer
Voucher No. Warrant No.
Castor, J. Victoria Allowed 20
14351 Whitworth Drive
Carmel, IN 46033
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1047 334900 4358400 60.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
24 -Sep 2009
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I